Individual provider Active NPI

Kristie Ho, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1831718261
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001087 Issued in AZ
Practice address
9250 N 3Rd St Ste 3020
Phoenix, AZ 85020-2425
Phone
(480) 939-3440
Fax
(480) 939-3448
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001087 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD001087 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St Ste 3020
Phoenix, AZ 85020-2425

Mailing address

4001 N 3Rd St Ste 290
Phoenix, AZ 85012-2071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727000336 AZ Practitioner - Podiatry 0547621302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mirage Podiatry Foot and Ankle SpecialistsGroup PAC ID 6002232162, 3 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 3020
Phoenix, AZ 85020-2425
Phone (480) 939-3440

Hospital & facility affiliations

  • Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score
78.57 of 100Reported as group
Quality
47.14
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue297
Removal of skin lesions1-10
Removal of nail tissue255
Removal or shaving of skin growth147
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001087AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mirage Podiatry Foot and Ankle Specialists Podiatrist CurrentSince Jul 31, 2023 Accepting new patients

Locations

9250 N 3rd St
Ste 3020
Phoenix, AZ 85020
Phone (480) 939-3440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1831718261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N 3RD ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 3020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202425",
            "telephone_number": "480-939-3440",
            "fax_number": "480-939-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "KRISTIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD001087",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD001087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.